Toward zero harm: Mackenzie Health’s journey toward becoming a high reliability organization and eliminating avoidable harm (October 2022)

Summary

This study, published in the Journal of Patient Safety, tells how Mackenzie Health responded to low safety culture scores by implementing a zero-harm strategy.

Content

In less than 1 year they increased patient safety incident reporting by 37% while simultaneously decreasing:

• falls with injury by 39%
• pressure injury rates by 37%
• central line–associated blood stream infections by 34%.

They also improved medication reconciliation rate by 3.3% and decreased their irretrievable specimen rate to 0.

Finally, they noted increased awareness around patient safety within clinical teams, with open discussions about patient safety becoming a routine part of patient care.

Read the summary via the link below (full access is paywalled). Authors conclude by highlighting the learning for patient safety that could be applied by peers.